Comparison of neuropathic pain characteristics associated with total brachial plexus injury before and after surgical repair: A retrospective study

Guo, Jinding; Gao, Ke; Zhou, Yingjie; Zhao, Xin; Lao, Jie

doi:10.1016/j.clineuro.2020.105692

Cited by 6 publications

(12 citation statements)

References 33 publications

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“…22,30,34,38 Pain Pain was assessed in 12 studies (n = 270 participants; Table 3) . 22,25,27,31,[33][34][35][38][39][40][41][42] The random-effects mean preoperative pain score was 5.33 AE 1.01 (I 2 = 0.90) 23,38,40 and the mean post-operative pain score was 4.01 AE 0.51 (I 2 = 0.82) (Figure 3, Table S4). 25,27,34,40,42 In studies reporting pain severity post-operatively, 32/109 (29.3%) were "pain-free" or reported "no pain."…”

Section: Patient Satisfactionmentioning

confidence: 99%

“…22,25,27,31,[33][34][35][38][39][40][41][42] The random-effects mean preoperative pain score was 5.33 AE 1.01 (I 2 = 0.90) 23,38,40 and the mean post-operative pain score was 4.01 AE 0.51 (I 2 = 0.82) (Figure 3, Table S4). 25,27,34,40,42 In studies reporting pain severity post-operatively, 32/109 (29.3%) were "pain-free" or reported "no pain." 34,38,42 In the remaining studies, pain measures included: numeric rating scale, 38 pain intensity, 41 component of 36 Item Short Form Survey (SF-36) Pain subscore, 22 component of Constant Murley Score, 39 component of DASH, 34 as a questionnaire, 34,35 Wong Baker score, 27 and Brief Pain Inventory (Table S4).…”

Section: Patient Satisfactionmentioning

confidence: 99%

“…25,27,34,40,42 In studies reporting pain severity post-operatively, 32/109 (29.3%) were "pain-free" or reported "no pain." 34,38,42 In the remaining studies, pain measures included: numeric rating scale, 38 pain intensity, 41 component of 36 Item Short Form Survey (SF-36) Pain subscore, 22 component of Constant Murley Score, 39 component of DASH, 34 as a questionnaire, 34,35 Wong Baker score, 27 and Brief Pain Inventory (Table S4). 31…”

Section: Patient Satisfactionmentioning

confidence: 99%

“…Frequency of pain was described in few studies with a very large range (26.6% to 76.0%) of patients having regular pain. 34,35,42 This variability may reflect inherent subjectivity in the pain experience, as well as behavioral, affective, or cognitive factors that may not be assessed by pain scales in isolation. 54,55 Furthermore, different types of injuries and various surgeries used may also affect pain outcomes.…”

Section: Heterogeneity In Patient-reported Outcomes After Nerve Transfermentioning

confidence: 99%

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A systematic review and meta‐analysis of patient‐reported outcomes following nerve transfer surgery for brachial plexus injury

Haldane

Frost

Ogalo

et al. 2022

PM&R

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Objective The purpose of this systematic review and meta‐analysis was to determine the effect of nerve transfer surgery for brachial plexus injury (BPI) on patient‐reported outcomes. Literature Survey MEDLINE, EMBASE, and CINAHL were searched and screened in duplicate for relevant studies on September 25, 2019 and repeated June 24, 2020. Methodology The patient population included male and female patients who received nerve transfer surgery for BPI. Further inclusion criteria were: (1) all levels of evidence; (2) published in English; (3) conducted in humans; and (4) report of patient‐reported outcome. Two reviewers independently abstracted data regarding injury type, surgical technique, surgical timing, follow‐up duration, strength, and patient‐reported outcome measures. Quality was assessed in duplicate using the Methodological Index for Non‐Randomized Studies criteria. Synthesis Twenty‐one studies involving 464 participants were included in analyses. The mean age ± SD was 32.4 ± 1.8 (range: 5–77) and 89.2% of included participants were male. The mean time to surgery was 5.6 ± 0.6 months and the mean follow‐up time was 48.1 ± 8.4 months. The most used patient‐reported outcome was the Disabilities of Arm, Shoulder and Hand (DASH), where scores variably improved postoperatively, although the degree of disability remained high. Return to work was reported in five studies, with 66.0% of participants returning to work. Patient satisfaction was assessed in four studies with an overall satisfaction proportion of 64.0%. Pain was assessed in 12 studies using various measures. In studies reporting pain intensity postoperatively, 29.3% of patients were “pain‐free” or had “no pain.” Conclusions Patient‐reported outcomes following nerve transfer for BPI are infrequently reported in the literature. Although patient‐reported outcomes demonstrate variable postoperative improvement, there is evidence of ongoing limitations and postoperative DASH scores report a high degree of ongoing disability. Future studies with greater reporting as well as validation of patient‐reported outcomes within BPI are warranted.

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Section: Patient Satisfactionmentioning

confidence: 99%

Section: Patient Satisfactionmentioning

confidence: 99%

Section: Patient Satisfactionmentioning

confidence: 99%

Section: Heterogeneity In Patient-reported Outcomes After Nerve Transfermentioning

confidence: 99%

See 2 more Smart Citations

A systematic review and meta‐analysis of patient‐reported outcomes following nerve transfer surgery for brachial plexus injury

Haldane

Frost

Ogalo

et al. 2022

PM&R

View full text Add to dashboard Cite

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“…We found that the incidence of abnormal light touch in the NeuP group was significantly higher than that in the non-NeuP group. Previous studies have shown that sensory function is related to the pain phenomenon (22,23). Different sensory functional deficits may have different underlying mechanisms.…”

Section: Discussionmentioning

confidence: 99%

Comparison of characteristics between neuropathic pain and non-neuropathic pain in patients with diabetic carpal tunnel syndrome: A cross-sectional study

Liu

Zhuang²,

Wei³

et al. 2022

Front. Surg.

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BackgroundThe aim of the study was to compare the clinical characteristics of diabetic carpal tunnel syndrome between patients with neuropathic pain (NeuP) and non-NeuP.MethodsWe enrolled 276 patients with diabetic carpal tunnel syndrome. Pain symptoms were evaluated using a visual analog scale. Douleur Neuropathique 4, the Neuropathic Pain Symptoms Inventory questionnaire, and the body map were used to assess neuropathic symptoms. Baseline information, clinical manifestations, electrophysiological test results, and psychological status were compared between the neuropathic pain (NeuP) and non-NeuP to identify the risk factor for NeuP occurrence.ResultsResults showed that the degree of pain was more severe in NeuP patients than in nociceptive pain patients (p = 0.025). The frequencies of light touch and pinprick were more pronounced in the NeuP group than in the non-NeuP group (light touch: p = 0.001; pinprick: p = 0.004). There were 48 and 27 NeuP patients with extramedian and proximal spread, respectively, whereas in the non-NeuP group, there were 11 and 9 patients, respectively (p = 0.03). Electrophysiological results showed that patients in the NeuP group exhibited greater sensory nerve conduction velocity impairment compared with the non-NeuP group (p = 0.033). Pain Catastrophizing Scale total scores of the NeuP group were significantly higher than those of the non-NeuP group (p = 0.006).ConclusionOf the 276 diabetic carpal tunnel syndrome patients studied, the majority had NeuP. Furthermore, light touch, electrophysiological test results, and psychological factors were found to be related to NeuP occurrence in patients with diabetic carpal tunnel syndrome.

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Concepts of Pain Management Following Nerve Injuries: Multidisciplinary Approach

Faust,

DeMartini,

Carey-Ewend

et al. 2024

Journal of Hand Surgery Global Online

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Comparison of neuropathic pain characteristics associated with total brachial plexus injury before and after surgical repair: A retrospective study

Cited by 6 publications

References 33 publications

A systematic review and meta‐analysis of patient‐reported outcomes following nerve transfer surgery for brachial plexus injury

A systematic review and meta‐analysis of patient‐reported outcomes following nerve transfer surgery for brachial plexus injury

Comparison of characteristics between neuropathic pain and non-neuropathic pain in patients with diabetic carpal tunnel syndrome: A cross-sectional study

Concepts of Pain Management Following Nerve Injuries: Multidisciplinary Approach

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